摘要
[目的]探讨三维外固定架结合有限内固定治疗肱骨干粉碎性骨折的临床疗效。[方法]2000年1月-2006年5月，收治肱骨干粉碎性骨折28例，骨折根据AO／ASIF分类，其中：B1型5例，B2型3例，B3型9例，C1型6例，C2型4例，C3型1例，采用三维外固定架结合螺钉和／或钢丝有限内固定治疗，术后3d行合理的康复治疗。从手术情况、并发症、骨折愈合及功能评价等方面对疗效进行分析。[结果]28例患者术后获平均13（10—15）个月随访，27例患者获骨性愈合，愈合率96．4％，骨折愈合时间12—33周，平均19．5周。除1例骨折未愈合外，余肩、肘关节功能均正常，优良率92．8％。[结论]三维外固定架结合有限内固定是治疗肱骨干粉碎性骨折的较好方法，符合骨折治疗的微创生物学原则，操作简单，固定可靠，功能恢复满意。
[ Objective] To explore the curative effect of the three diamen sional external fixation frame and limited internal fixation in treating the eomminuted fracture of the shaft of humerus. [ Method] Twenty-eight patients of the eomminuted fracture of the shaft of humerus were treated from Jan 2000 to May 2006. According to the AO/ASIF, there were 5 cases of the B1 type, 3 cases of the B2 type, 9 cases of the B3 type, 6 cases of the C1 type, 4 cases of the C2 type ,1 case of the C3 type. All of them were treated by the three diamensional external fixation frame and limited internal fixation of the screws or wires, and all of them were given the reasonable rehabilitation training at 3 day after the operation. The curative effect of the operation, the complications, the fracture healing and the function appraisal were analyzed. [ Result] The 28 patients were followed-up for 10 - 15 months （average 13 months ） , 27 cases had the frature healed and the healing rate was 96.4%. The healing period of the fracture lasted from 12 weeks to 33 weeks, average 19.5 weeks. Only 1 case was not healed. The functions of the shoulder and the elbow were normal, the excellent rate was 92.8%. [ Conclusion] The three diamensional external fixation frame and limited internal fixation is a better method in treating the eomminuted fracture of the shaft of humerus. It fits the rule of minimal-invasivebiology. The operation is simple, and the fixation is reliable, the function is satisfactory.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第24期1869-1871,共3页
Orthopedic Journal of China
关键词
肱骨干
骨折固定术
外固定架
生物学固定
粉碎性骨折
the shaft of humerus
the fixation of the fracture
the external fixation frame
biological fixation
eomminuted fracture
